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Replies to "The disconnect is that I know in my head that the advice you and others in..."
There are drug-free treatments for depression and anxiety that have performed as well in studies as medications (often better). The classic is CBT (cognitive-behavioural therapy), and a newer one is ACT (acceptance-commitment therapy).
They can be self-taught, but obviously are easier if your therapist is coaching you through them at first. CBT has been especially powerful for me over the past 15 or so years — a 10-minute CBT writing exercise (dysfunctional thought, list the cognitive errors, rational response) will end a bout of depression or anxiety far faster than any drug could — but everyone responds differently. Also, CBT alone won't work for more-complex conditions like bipolar disorder.
I started with this book, which is a classic but also pretty old now (44 years!):
https://en.wikipedia.org/wiki/Feeling_Good:_The_New_Mood_Therapy